NPIMap

Organization Active NPI

Trinity Healthcare Center PLLC

  • Physical Medicine & Rehabilitation Physician
  • Queen Creek, AZ
National Provider Identifier
1407717986
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TRINITY HEALTHCARE CENTER PLLC
Practice address
18510 E San Tan Blvd Ste 115
Queen Creek, AZ 85142-2206
Phone
(480) 874-6808
NPI assigned
Nov 24, 2025
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTHCARE CENTER PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathan Ian WellerNPI 1922302090
Title
Owner
Phone
(480) 874-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

18510 E San Tan Blvd Ste 115
Queen Creek, AZ 85142-2206

Mailing address

18510 E San Tan Blvd Ste 115
Queen Creek, AZ 85142-2206
Phone (480) 442-3990

National Provider Directory

National Provider Directory
Tax ID family
Trinity Healthcare Center PLLC3 organizations share this tax ID, including this one
Part of
Trinity Healthcare Center PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18510 E San Tan Blvd
Ste 115
Queen Creek, AZ 85142
Phone (480) 442-3990

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1407717986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18510 E SAN TAN BLVD STE 115",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422206",
            "telephone_number": "480-442-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 E SAN TAN BLVD STE 115",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422206",
            "telephone_number": "480-874-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTHCARE CENTER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTHCARE CENTER PLLC",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-874-6808"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.